Thoracic Interbody Fusion Cost in Vietnam

Thoracic interbody fusion is a surgical procedure performed to stabilise the thoracic spine (mid-back) and relieve pain or neurological symptoms caused by spinal instability, disc degeneration, herniation, trauma, infection, or deformity (such as scoliosis or kyphosis). It involves removing a damaged intervertebral disc and fusing the adjacent vertebrae using bone grafts and, often, implants such as cages, rods, or screws. The goal is to create a solid bridge of bone between the vertebrae to prevent painful motion and correct structural problems.

You should consider seeing a spine specialist if you have:

• Persistent mid-back pain that doesn’t improve with medication or therapy
• Neurological symptoms such as numbness, weakness, or difficulty walking
• Signs of spinal instability or deformity (visible curve, posture changes)
• Progressive spinal cord compression is seen on imaging
• Pain or disability significantly affecting daily activities or quality of life

Thoracic interbody fusion is typically considered after conservative treatments—like physical therapy, injections, or bracing—fail to provide relief.

Preparation includes a comprehensive evaluation to ensure you’re a good candidate for surgery:

• Detailed medical and neurological exam
• Imaging studies: MRI, CT scan, and X-rays to assess the spine
• Blood work and anaesthesia clearance
• Review of current medications, including blood thinners and supplements
• Smoking cessation, as it affects bone healing
• Fasting for 8 hours before surgery (if under general anaesthesia)
• A preoperative discussion about the risks, benefits, and recovery expectations

Thoracic interbody fusion can be performed through several surgical approaches:

Posterior Approach: Accessing the spine through the back

Anterior or Lateral Approach: Accessing the spine through the chest or side of the body (often using minimally invasive techniques)

The procedure involves:

• Removal of the damaged disc (discectomy)
• Preparation of the intervertebral space
• Insertion of a bone graft or cage to maintain disc height and promote fusion
• Stabilisation with screws, rods, or plates if needed
• Closure of the incision and placement of drains (if necessary)

It is performed under general anaesthesia and can take several hours depending on complexity.

The procedure typically lasts 3–6 hours, depending on the surgical approach and the number of levels being fused. Hospital stay is usually 2–5 days, with more time needed for more extensive fusions or open approaches.

As with any spine surgery, thoracic interbody fusion carries potential risks, including:

• Infection
• Blood loss
• Nerve injury or spinal cord damage
• Non-union (failure of bone to fuse)
• Hardware complications (loosening or breakage)
• Pulmonary complications (especially with the anterior approach)
• Chronic pain or adjacent segment disease
• Deep vein thrombosis (DVT) or pulmonary embolism

Your surgeon will assess and minimise these risks based on your health and the procedure type.

• Stabilises and strengthens the spine
• Reduces or eliminates chronic pain
• Prevents progression of deformity or instability
• Protects the spinal cord and nerve roots from further damage
• Improves posture, mobility, and function
• It can significantly enhance the quality of life when other treatments fail

Recovery after thoracic interbody fusion depends on the surgical approach and individual health:

• Hospital stay: 2–5 days
• Use of a brace may be recommended for several weeks
• Pain management with medications and gradual weaning
• Light activities resume in 2–4 weeks
• Physical therapy typically begins within 4–6 weeks
• Complete fusion and recovery may take 6–12 months

Avoid heavy lifting, twisting, or strenuous activity during the healing phase. Follow-up imaging is used to monitor the progress of fusion.